Individual
KAREN MARIE PETROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
226 MILL HILL AVE, 3RD FLOOR, BRIDGEPORT, CT 06610-2826
(203) 384-3394
(203) 384-3829
Mailing address
PO BOX 415126, BOSTON, MA 02241-0001
(203) 384-3394
(203) 384-3829
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
001573
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004188779
—
CT
Enumeration date
07/21/2006
Last updated
09/10/2008
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